The mediating effect of patient safety culture between head nurses' multiple leadership styles and nurses' occupational burnout

ZHANG Yujian; XU Wenxue; WANG Lijun; LIU Yadong; WANG Qian; CAO Yingjuan

doi:10.16766/j.cnki.issn.1674-4152.004392

Volume 24 Issue 2

Feb. 2026

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Article Navigation > Chinese Journal of General Practice > 2026 > 24(2): 335-339

ZHANG Yujian, XU Wenxue, WANG Lijun, LIU Yadong, WANG Qian, CAO Yingjuan. The mediating effect of patient safety culture between head nurses' multiple leadership styles and nurses' occupational burnout[J]. Chinese Journal of General Practice, 2026, 24(2): 335-339. doi: 10.16766/j.cnki.issn.1674-4152.004392

Citation:

ZHANG Yujian, XU Wenxue, WANG Lijun, LIU Yadong, WANG Qian, CAO Yingjuan. The mediating effect of patient safety culture between head nurses' multiple leadership styles and nurses' occupational burnout[J]. Chinese Journal of General Practice, 2026, 24(2): 335-339. doi: 10.16766/j.cnki.issn.1674-4152.004392

Citation:

ZHANG Yujian, XU Wenxue, WANG Lijun, LIU Yadong, WANG Qian, CAO Yingjuan. The mediating effect of patient safety culture between head nurses' multiple leadership styles and nurses' occupational burnout[J]. Chinese Journal of General Practice, 2026, 24(2): 335-339. doi: 10.16766/j.cnki.issn.1674-4152.004392

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The mediating effect of patient safety culture between head nurses' multiple leadership styles and nurses' occupational burnout

doi: 10.16766/j.cnki.issn.1674-4152.004392

ZHANG Yujian^{1, 2, 3}
, XU Wenxue^{2, 3}
, WANG Lijun⁴
, LIU Yadong⁵
, WANG Qian⁶
, CAO Yingjuan^{1, 2, 7
,
,}

1.
Nursing Department of Qilu Hospital, Shandong University, Jinan, Shandong 250012, China

Funds:

ZR2022MG039

Received Date: 2025-04-11
Available Online: 2026-04-11

Abstract

Abstract

Objective To explore the mediating role of patient safety culture in the relationship between head nurses' multiple leadership styles and nurses' occupational burnout, in order to provide a new perspective and a new path for the intervention of nurses' occupational burnout. Methods Using stratified convenience sampling, 1 673 registered nurses from 10 tertiary general hospitals in different prefecture-level cities of Shandong Province were selected as subjects for the survey from August to October 2024. The survey utilized the general information questionnaire (GIQ), multiple leadership styles scale (MLSS), Maslach burnout inventory-human service survey (MBI-HSS), and patient safety culture assessment questionnaire (PSCAQ). Statistical analysis was performed using SPSS 25.0 software. Pearson correlation analysis was employed to explore the associations between variables, and the Bootstrap method was used to analyze the mediating effect. This study examined the correlation between head nurses' multiple leadership styles and nurses' current state of job burnout, and explored the mediating effect of patient safety culture between the two. Results The scores for head nurses' multiple leadership styles, nurses' occupational burnout, and patient safety culture were 33.59±22.87, 56.78±20.34, and 103.74±15.78, respectively. The positive rate of nurses' occupational burnout was 39.7% (664 nurses). The total score of occupational burnout was negatively correlated with transformational leadership style (r=-0.542, P < 0.01) and positively correlated with transactional leadership style (r=0.321, P < 0.01). Patient safety culture played a significant mediating role in the effects of both transactional and transformational leadership styles on occupational burnout. Conclusion The degree of nurses' occupational burnout is relatively severe. The transformational leadership style can directly or indirectly reduce nurses' occupational burnout through the mediating effect of patient safety culture, enhancing the level of patient safety culture.
- Multiple leadership style,
- Nurse,
- Occupational burnout,
- Patient safety culture,
- Mediating effect

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References(21)

References

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